Hepatitis B virus genotypes among chronic hepatitis B patients reporting at Korle-Bu teaching hospital, Accra, Ghana

Knowledge of hepatitis B virus (HBV) genotype is an important predictive variable which might have an impact in management and treatment of patients with chronic hepatitis B infection. In Ghana very little information is available on hepatitis B genotypes. This study was conducted to determine the d...

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Veröffentlicht in:The Pan African medical journal 2016, Vol.25 (Suppl 1), p.5-5
Hauptverfasser: Dongdem, Anthony Zunuo, Dzodzomenyo, Mawuli, Asmah, Richard Harry, Nyarko, Kofi Mensah, Nortey, Priscillia, Agyei, Adwoa, Adjei, David Nana, Kenu, Ernest, Adjei, Andrew Anthony
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container_end_page 5
container_issue Suppl 1
container_start_page 5
container_title The Pan African medical journal
container_volume 25
creator Dongdem, Anthony Zunuo
Dzodzomenyo, Mawuli
Asmah, Richard Harry
Nyarko, Kofi Mensah
Nortey, Priscillia
Agyei, Adwoa
Adjei, David Nana
Kenu, Ernest
Adjei, Andrew Anthony
description Knowledge of hepatitis B virus (HBV) genotype is an important predictive variable which might have an impact in management and treatment of patients with chronic hepatitis B infection. In Ghana very little information is available on hepatitis B genotypes. This study was conducted to determine the distribution of HBV genotypes circulating among chronic hepatitis B patients reporting at the Korle-Bu Teaching Hospital (KBTH), Accra, Ghana. Blood samples (10 ml) were collected from 250 consenting patients. DNA was extracted and amplified using polymerase chain reaction technique. Restriction fragment length polymorphism (RFLP) was used for the detection of genotypes. Out of the 250 chronic hepatitis B patients who were HBsAg positive, 91 (36.4%) were males aged 29.8 ± 9.1 and 159 (63.6%) females aged 33± 12.1 years. HBV DNA was detected in 111 (44.4%) but only 58 (52%) of these were typeable. These were classified as genotype A, 8 (7.2%); genotype D, 3 (2.7%) and genotype E, 47 (42.3%). Our results did not show any association between the infecting genotype and age (X = 0.923; p-value=0.623) or gender (X = 0.283, p= 0.579). Consistent with similar studies worldwide, the results suggest that genotypes A, D and E were the genotypes circulating among chronic hepatitis B patients who reported to the Korle-Bu Teaching Hospital with genotype E being the most predominant and therefore constitutes an important public health concern. We recommend further epidemiological studies to understand the implication of genotype E in terms of disease progression and treatment.
doi_str_mv 10.11604/pamj.supp.2016.25.1.6170
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In Ghana very little information is available on hepatitis B genotypes. This study was conducted to determine the distribution of HBV genotypes circulating among chronic hepatitis B patients reporting at the Korle-Bu Teaching Hospital (KBTH), Accra, Ghana. Blood samples (10 ml) were collected from 250 consenting patients. DNA was extracted and amplified using polymerase chain reaction technique. Restriction fragment length polymorphism (RFLP) was used for the detection of genotypes. Out of the 250 chronic hepatitis B patients who were HBsAg positive, 91 (36.4%) were males aged 29.8 ± 9.1 and 159 (63.6%) females aged 33± 12.1 years. HBV DNA was detected in 111 (44.4%) but only 58 (52%) of these were typeable. These were classified as genotype A, 8 (7.2%); genotype D, 3 (2.7%) and genotype E, 47 (42.3%). Our results did not show any association between the infecting genotype and age (X = 0.923; p-value=0.623) or gender (X = 0.283, p= 0.579). Consistent with similar studies worldwide, the results suggest that genotypes A, D and E were the genotypes circulating among chronic hepatitis B patients who reported to the Korle-Bu Teaching Hospital with genotype E being the most predominant and therefore constitutes an important public health concern. We recommend further epidemiological studies to understand the implication of genotype E in terms of disease progression and treatment.</abstract><cop>Uganda</cop><pub>African Field Epidemiology Network</pub><pmid>28210373</pmid><doi>10.11604/pamj.supp.2016.25.1.6170</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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source African Journals Online (Open Access); MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access
subjects Adolescent
Adult
Child
Child, Preschool
Cross-Sectional Studies
DNA, Viral - blood
Female
Genotype
Ghana - epidemiology
Hepatitis B
Hepatitis B Surface Antigens - blood
Hepatitis B virus - genetics
Hepatitis B virus - isolation & purification
Hepatitis B, Chronic - epidemiology
Hepatitis B, Chronic - virology
Hospitals, Teaching
Humans
Infant
Infant, Newborn
Male
Middle Aged
Polymerase Chain Reaction
Polymorphism, Restriction Fragment Length
Young Adult
title Hepatitis B virus genotypes among chronic hepatitis B patients reporting at Korle-Bu teaching hospital, Accra, Ghana
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